Yale University

Does an index composed of clinical data reflect effects of inflammation, coagulation, and monocyte activation on mortality among those aging with HIV?

TitleDoes an index composed of clinical data reflect effects of inflammation, coagulation, and monocyte activation on mortality among those aging with HIV?
Publication TypeJournal Article
Year of Publication2012
AuthorsJustice, Amy C., Matthew S. Freiberg, Russ Tracy, Lew Kuller, Janet P. Tate, Matthew Bidwell Goetz, David A. Fiellin, Gary J. Vanasse, Adeel A. Butt, Maria C. Rodriguez-Barradas, Cynthia Gibert, Kris Ann Oursler, Steven G. Deeks, and Kendall Bryant
Corporate AuthorsVACS Project Team
JournalClinical infectious diseases : an official publication of the Infectious Diseases Society of America
Volume54
Issue7
Pagination984-94
Date Published2012 Apr
ISSN1537-6591
KeywordsAdult, Aged, Aged, 80 and over, Aging, Antigens, CD14, Biological Markers, Female, Fibrin Fibrinogen Degradation Products, HIV Infections, HIV-1, Humans, Interleukin-6, Male, Middle Aged, Prognosis, Survival Analysis
AbstractWhen added to age, CD4 count and human immunodeficiency virus type 1 (HIV-1) RNA alone (Restricted Index), hemoglobin, FIB-4 Index, hepatitis C virus (HCV), and estimated glomerular filtration rate improve prediction of mortality. Weighted and combined, these 7 routine clinical variables constitute the Veterans Aging Cohort Study (VACS) Index. Because nonroutine biomarkers of inflammation (interleukin 6 [IL-6]), coagulation (D-dimer), and monocyte activation (sCD14) also predict mortality, we test the association of these indices and biomarkers with each other and with mortality.
DOI10.1093/cid/cir989
Alternate JournalClin. Infect. Dis.

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